Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.95 / $312.95 / $312.95	Facility		$312.95	$312.95	$312.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.74 / $312.95 / $312.95	Professional		$240.74	$312.95	$312.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $829.40 / $1,652.49 / $3,009.73	Facility		$829.40	$1,652.49	$3,009.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $520.58 / $547.98 / $739.77	Professional		$520.58	$547.98	$739.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $283.66 / $300.52 / $356.19	Facility		$283.66	$300.52	$356.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $438.38 / $438.38 / $438.38	Professional		$438.38	$438.38	$438.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $366.26 / $366.26 / $366.26	Facility		$366.26	$366.26	$366.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.26 / $366.26 / $635.25	Professional		$366.26	$366.26	$635.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $312.95 / $396.00 / $396.00	Facility		$312.95	$396.00	$396.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $310.06 / $396.00 / $575.37	Professional		$310.06	$396.00	$575.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $332.51 / $405.51 / $466.33	Professional		$332.51	$405.51	$466.33
United Facility/Professional Professional Modifier Low / Median / High Price $181.43 / $261.98 / $364.51	Professional		$181.43	$261.98	$364.51